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South Dakota rates for HCPCS D4999

Unspecified Periodontal Procedure, By Report

Insurance Carrier
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.82 / $100.82 / $100.82
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$97.52 / $97.52 / $97.52
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.20 / $81.20 / $81.20